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Re: HERPES & PPROM From: art fougner, md (evsono@pipeline.com) Mon Aug 24 08:20:24 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Geffrey Klein: "Re: Patient or client" Previous message: art fougner, md: "Re: vaginal lips angiomyxoma" In reply to: Thomas Ind: "Patient or client" Next in thread: Geffrey Klein: "Re: Patient or client" with the hx you provide, my feeling is that a section would not prevent exposure - therefore, would not be justified at this time. just my opinion, i could be wrong. Art At Mon, 24 Aug 1998, Braun, R. Daniel wrote: > >25 Y/O G 6 P 2-2-1-4 presents at 33 weeks with ruptured membranes for 28 >hours. She had the onset of severe perineal pain and blisters about 6 >days ago. This was associated with inability to urinate. It was >diagnosed as PRIMARY herpes and cultures were positive. She was started >on oral Acyclovir at that time and is continuing to take it. She still >has multiple perineal and vaginal lesions. >1. When and how would you deliver her ? >2. What would you tell her the risks of the baby having herpes are >if a. Delivered by C/S Now b. Delivered by C/S in 24-48 hours c. >delivered by C/S after the onset of spontaneous labor ?? >3. Do you have any data to back up your response? Remember this is >PRIMARY outbreak with evidence of systemic infection in the mother. > >Dan "The OTHER Man" -- art fougner, md SonoScan/Genetic Sciences forest hills, ny evsono@pipeline.com Next message: Geffrey Klein: "Re: Patient or client" Previous message: art fougner, md: "Re: vaginal lips angiomyxoma" In reply to: Thomas Ind: "Patient or client" Next in thread: Geffrey Klein: "Re: Patient or client"

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